Kevin S Woolley MD Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD3378 Issued in HI

Legal business name

KEVIN S WOOLLEY MD INC

Practice address

1329 Lusitana Street
Suite 604
Honolulu, HI 96813-2431

Phone

(808) 531-1116

Fax

(808) 524-7911

NPI assigned

Jan 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kevin S Woolley, MD

Title

President

Phone

(808) 531-1116

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598814865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA STREET",
            "address_2": "SUITE 604",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132431",
            "telephone_number": "808-531-1116",
            "fax_number": "808-524-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA STREET",
            "address_2": "SUITE 604",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132431",
            "telephone_number": "808-531-1116",
            "fax_number": "808-524-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN S WOOLLEY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOLLEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-531-1116",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "MD3378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04564901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derek Ketelsen, DPT
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• Kevin S Sugiki DDS, LLC
• Kevin Schlang DDS LLC
• Kevin Y. Pei M.D., Inc.
• Chanelle Lynn Puallilia Key
• Sierra Keylin, LMT
• Sarah Khalil

• Anesthesiology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Anesthesiology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.